An intervention to improve nurse-physician communication in depression care.
Academic Article
Overview
abstract
OBJECTIVES: Depression in older adult home care recipients is frequently undetected and inadequately treated. Failed communication between home healthcare personnel and the patient's physician has been identified as a barrier for depression care. The purpose of this pilot intervention study was to improve nurse competency for communicating depression-related information to the physician. DESIGN: A single group pre-post experimental design. SETTING: Two Medicare-certified home healthcare agencies serving an urban and suburban area in New York. PARTICIPANTS: Twenty-eight home care nurses, all female Registered Nurses. INTERVENTION: Two-hour skills training workshop. MEASUREMENTS: To evaluate the intervention, pre-post changes in effective nurse communication using Objective Structured Clinical Examinations and nurse survey reports. RESULTS: The intervention significantly improved the ability of the home care nurse to perform a case presentation in a complete and standard organized format pre versus postintervention. The intervention also increased nurse-reported certainty to communicate depression-related information to the physician. CONCLUSIONS: Our findings provide support for the ability of a brief, depression-focused communication skills training intervention to improve home care nurse competency for effectively communicating depression-related information to the physician.
